CT scan, abdomen and pelvis (with contrast)
Facility: Centura St. Catherine-Dodge City
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $5,149
- Cash Discount Price: $3,130
- vs. Medicare Baseline: 14.45x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1445% of the Medicare baseline (a markup of 1345%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $193 - $6,260 | 54% |
| Humana | $193 | 54% |
| Medicare (plans) | $193 | 54% |
| Kaiser | $193 | 54% |
| Cigna | $193 | 54% |
| Blue Cross Blue Shield | $193 - $565 | 54% |
| Kansas Health | $193 | 54% |
| Centura Employee Plan | $337 | 95% |
| UnitedHealthcare | $5,149 | 1445% |
| Wpaa | $5,478 | 1537% |
| Christian Health Aid | $6,260 | 1756% |
| Multiplan | $6,260 - $7,043 | 1756% |
| Health Partners Of Kansas | $7,043 | 1976% |
Consumer Guidance & Cost Commentary
For a CT scan of the abdomen and pelvis with contrast at Centura St. Catherine-Dodge City, the cash median price is $3,130. This facility's cash rate is notably lower than the state average of $7,825, offering a potential savings for patients who qualify for self-pay pricing. While the facility's negotiated rate for in-network insurance is $5,149, which exceeds the cash price, paying out-of-pocket can sometimes be more economical for individuals with high-deductible plans or those who have already met their annual out-of-pocket maximum. It is advisable to contact the hospital directly to confirm if additional "self-pay" or "prompt-pay" discounts are available before scheduling the procedure.
Insurance coverage varies significantly across different payers, with rates ranging from $193 for Humana and Medicare plans up to $7,043 for Multiplan. The facility's negotiated rate of $5,149 stands well below the gross chargemaster price of $7,825, reflecting the impact of commercial contracts that cap billing amounts. However, patients should be aware that commercial negotiated rates often include administrative overhead and may still be higher than the Medicare benchmark rate of $356.43 for this service. To ensure they receive the most accurate and up-to-date pricing, consumers should request a formal itemized billing audit to verify all charges and avoid unexpected balance billing, particularly if their specific insurance plan or ancillary services are out-of-network.